| NPI | 1588033765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R199830) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R199830) |
| 163WE0003X Registered Nurse, Emergency (Licence: DC RN1033746) | |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: MD R199830) | |
| 163WN0300X Registered Nurse, Nephrology (Licence: DC RN1033746) | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2020-04-06 |